Background Colonic cancer is the third commonest cause of cancer mortality in women and men in the developed world[1]. Old age, adenomatous colorectal polyps, inflammatory bowel disease, low intake of dietary fibre and family history of colorectal cancer all predispose to the development of colonic cancer[2-4]. Certain genetic syndromes such as Hereditary Non-Polyposis Colon Cancer (HNPCC), Familial Adenomatous Polyposis (FAP), Peutz-Jeghers Syndrome (PJS) and Juvenile Polyposis have a significant lifetime risk of developing colonic cancer[5-8]. Historically, open surgery has been the mainstay of treatment for localised, potentially curable colonic cancer. Laterally, minimally invasive or laparoscopic surgery has largely supplanted open surgery in the management of colonic cancer[9,10,11]. Published data have shown that laparoscopic assisted resection has equivalent oncological outcomes in terms of long term survival when compared to conventional open surgery. Similarly, Level 1 evidence from the major randomised controlled trials in this field suggests that laparoscopic colonic resection confers advantages over the open approach during the perioperative period in terms of reduced requirement for parenteral narcotics and oral analgesics, earlier restoration of intestinal function, earlier ambulation, and shorter hospital stay. To date there remains no consensus or accepted guidelines on the surgical management of potentially curable right colonic cancer. The NHS published guidelines on management of colorectal cancer simply state that surgeons offering their patients potentially curative laparoscopic resections should be appropriately trained in such specialist techniques12. Currently, surgeons competent in minimal access surgery favour laparoscopic right hemicolectomy as the technique of choice for right colonic resection. Intestinal continuity can be restored intracorporeally, or extracorporeally by exteriorising the mobilised segment of ileum/right and transverse colon.